CCSP Nova LLC

Skilled Nursing Facility · Sterling, VA

Organization Active NPI

NPI number 1710291679

Practice location

46531 Harry Byrd Hwy
Sterling, VA 20164-3555

Phone: (703) 834-5800
Fax: (703) 834-5905

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NPI record

NPI: 1710291679
Entity type: Organization (Type 2)
Enumeration date: August 3, 2010
Last updated: January 13, 2021
Certified: January 13, 2021
Organization subpart: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
Skilled Nursing Facility Primary	`314000000X`	NH2776	VA

Mailing address

5372 Fallowater Ln
Suite 200
Roanoke, VA 24018-0907

Phone: (540) 725-8910
Fax: (540) 725-8914

Authorized official

Name: Joseph Anthony Alesantrino
Title: Chief Financial Officer
Phone: (540) 725-8910

Other names

Potomac Falls Health & Rehab Center

About CCSP Nova LLC

CCSP Nova LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 46531 Harry Byrd Hwy, Sterling, VA 20164-3555. The NPI number 1710291679 was assigned on August 3, 2010 and the record was last updated on January 13, 2021.

CCSP Nova LLC lists a license in the registry: #NH2776 (VA) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Joseph Anthony Alesantrino, Chief Financial Officer.

Frequently asked questions

What is the NPI number of CCSP Nova LLC?

The NPI number is 1710291679.

What is the phone number of CCSP Nova LLC?

The phone number listed for the practice location is (703) 834-5800.

Where is CCSP Nova LLC located?

46531 Harry Byrd Hwy, Sterling, VA 20164-3555.

What is the taxonomy code for CCSP Nova LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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